SEC Form 4 · accession 0000899243-19-006285
Axonics Modulation Technologies, Inc. · AXNX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael H Carrel
Director
Period of report
Feb 27, 2019
Accepted (ET)
Mar 5, 2019 · 7:30 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001603756
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Feb 27, 2019 | A | 5,000 | $0.00 | A | 5,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F1 | $20.85 | Feb 27, 2019 | A | 10,000 | A | — | Feb 27, 2029 | Common Stock | 10,000 | 10,000 | D |
Explanation of responses
- F1The option becomes exercisable in full on February 27, 2020, provided the reporting person remains in continuous service through such date.